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The.Pitt.S02E10.540p.X265.AAC [Full Movie] [Watch Free Online]Full EP - Full
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00:15A
00:16Structure collapse at the water park two victims coming in via helicopter ETA five minutes time to rally the troops
00:21I'll get environmental to clear and drop the trauma room
00:23I'm gonna restock the crash carts McKay to take the latest scripts to the drug cage would be a fun
00:27one fun one
00:28What's up slide broke at the water park two victims five minutes to touchdown no information on extended injuries
00:33I can jump in
00:34Oh go be
00:35Grab some goggles gloves gown go up to the roof first patient that lands bring him down
00:40Hey we've got two choppers then you want to grab some bodies and beat me
00:43What injuries are we expecting?
00:45Structural collapse could be anything
00:46I can increase the morphine drip to manage the pain but that could also slow down your breathing
00:53You will likely feel very drowsy you may lose consciousness
00:57And it could cause you to stop breathing altogether
01:10I'll be right back
01:19Hey you okay
01:21Yeah
01:22Sorry
01:23Look it's hard seeing your patients die
01:26But as professionals we have to create emotional boundaries for ourselves
01:31It's not about us it's about them
01:35She's so calm
01:40She had a long time to prepare for this moment
01:44What she's doing for her sons
01:46Managing this with so much grace
01:49The real gift of love
01:50I feel like an asshole
01:53All they want is more time with their mother
01:55All I want is less time with mine
01:57Don't feel guilty
01:59I mean you can be grateful and gracious from a distance
02:03Just talk to her
02:04Tell her what you want
02:05She'll understand
02:08I doubt that
02:11Give her a chance
02:13She may surprise you
02:17Hey
02:18Two birds headed our way
02:20Need a hand
02:20That's the rumor
02:22Santos
02:23Trauma incoming
02:24Grab a gown
02:25You can assist Dr. Langdon
02:29Fuck me
02:30Jesus I got blood tubes growing moss over here
02:34Tick tock people
02:35Hey Olive
02:36Give me a solid
02:37I'm going next to the lab
02:38No problem
02:39I got more lab results
02:41Start putting them on the patient clipboard
02:43PTMC emergency
02:44Go ahead medic
02:45Do cyber attacks happen often?
02:47More than you realize
02:48I blame the riskies
02:49Dr. Mohan
02:50It's your mother?
02:52She sounds pretty upset
02:54She says she really needs to talk to you
02:57You're shitting me
02:58Tell her I'm not available
03:10How's your ship going?
03:12It's been a lot
03:13Already
03:15You know I worked in an ER before
03:17Up in Vermont
03:18And we had MBAs
03:19And ODs
03:20MIs
03:21But this place
03:23This place is relentless
03:26Holiday weekend
03:27We're not normally offline
03:30I think we have a very different idea of normal
03:32Now for everyone
03:34I'm not sure it's healthy for anybody
03:36Here's your leg
03:38Jesus
03:47I need more runners
03:48You could shut down the gift shop
03:50They always have a couple of volunteers there
03:52Unless those volunteers use walkers
03:54Beggars can't be choosers
03:56Go get them
03:57Okay
03:57I'm gonna grab a smoke first
03:59No time
03:59Nicotine gum
04:00Take the edge off
04:01You two
04:02Head to triage
04:03Jump out the front of the house
04:04They're running out of space
04:04And there's a line out the door
04:06Okay
04:07Let's go
04:07Hang on Mohan
04:11Sign this
04:14Nicotine patch
04:1521 milligrams
04:16Who's it for?
04:17Monica
04:17This nicotine gum shit
04:19She'll never survive the shift
04:20Then I need her
04:20So I don't lose my goddamn mind
04:25Thanks
04:26Is Dr. Abbott still around?
04:28He'll have to get some sleep
04:29Before his night shift starts
04:29In a couple hours
04:30Shit
04:31Okay
04:31I should have planned this better
04:33I was hoping
04:34He'd write me a letter of rec
04:36For an elective
04:36So I could have a shot
04:37At a fellowship next year
04:38Which one?
04:41Whichever will take me
04:42Did the elective fill up a while ago?
04:44Don't remind me
04:45I'm gonna throw myself
04:46At the mercy of the court
04:46Beg for them to take me anyway
04:48Just kill me now
04:50Be less painful
04:51You know
04:52I can't read this handwriting
04:53It says
04:54A thousand milligrams
04:56Of acetaminophen
04:57Orale
04:58Four milligrams
04:58On dengetron
04:59Under the tongue
05:00And
05:01Trial of clear fluids
05:02Seriously?
05:03It says all that?
05:04It's not in a text
05:05With emojis
05:06You kids can't read for shit
05:08What do we have?
05:11Fall from ten feet
05:12Onto a metal fence
05:13Right below the knee
05:15Good vitals
05:16Oh it hurts
05:17Oh my god
05:17What's she had so far?
05:1950 event
05:19Repeated 25
05:20No meds
05:20No allergies
05:21Where should I put this?
05:22Just hang on to it for now
05:23On my count
05:24One
05:25Two
05:26Three
05:27Oh my god
05:29Whitaker
05:29Eat fast
05:30Donnie
05:31Primary survey please
05:32Pupils equal
05:33And reactive
05:35What's your name?
05:36My leg hurts really bad
05:37Did I break it?
05:39Um
05:40I wouldn't say that it's broken
05:41Exactly
05:41We're gonna get an x-ray
05:42To determine that
05:43Put that on the gurney
05:44Light it up for x-ray
05:45Keep your fucking mouth shut
05:46Good lung sliding
05:48Right and left
05:48Airway patent
05:49Breath sounds bilaterally
05:51My head hurts
05:52VP
05:53100 over 60
05:54Pulse
05:54118
05:55Pulse lock
05:5698%
05:56Does your belly hurt?
05:58No
05:59Asshole
05:59Into my leg
06:00Okay she's really moving here
06:02I'm drinking ketamine
06:03Yeah we can't evaluate like this
06:06Hey Ogilvy
06:08Deep breaths yeah
06:09Yeah okay
06:10What a girl
06:11What's next?
06:12Uh once she's sedated
06:13Finish the e-fast
06:14Plain x-ray
06:15Check her back
06:15Straight to CT
06:16What if the ketamine wears off?
06:18Right
06:18Uh we should do a popliteal nerve
06:20Walk
06:20Before the CT
06:22Anesthetized from the knee down
06:23Two of you
06:24Tip fib
06:25Pushing ketamine now
06:26What's the bullet?
06:2742 year old male
06:28With 20 foot fall
06:29Want chest trauma
06:30With hand injury
06:31Where's my son?
06:33Where's my son?
06:33Stacky to 108
06:34Sats 98 on 2 liters
06:36BP 122 over 84
06:37Pants can do to mechanism
06:38You?
06:39Tip fib amputation
06:40Hoping ortho can
06:41Give us a little hope
06:42For replantation
06:43Derek where are you hurting?
06:45Chest
06:45In my finger
06:46Did they find my son?
06:47Did you hit your head?
06:48Don't think so
06:49I need to find my son
06:51We'll find him for you
06:52But we need to take care of you first
06:53Pericardium's clear
06:54No fluid in Morrison's
06:56Move both arms
06:57Wiggle your feet
06:58Good
06:59Any pain in your neck?
07:00No
07:01Spleen looks good
07:02Start with this chest
07:03That's where he hurts
07:04No hemotamp in him
07:05Normal sliding
07:06Best to start with the side
07:08He's complaining about first
07:10Uh I don't see much sliding there
07:12His name is Zach
07:14He's seven
07:15Nemathox
07:15Set up for a chest tube
07:16Not yet
07:17Uh let's go
07:19Posterior lateral
07:19Look for fluid first
07:20Traumatic pneumothorax
07:22We should prep the chest
07:23Not necessarily
07:24He's hemodynamically stable
07:26Okay
07:27Does that look like some fluid there?
07:29Hard to say for sure
07:30Okay
07:31He's tachycardic
07:32Hemoneumothorax
07:32He needs a chest tube
07:33BP and sats are fine
07:35We can wait for CT
07:36If it's small
07:37It'll resolve on its own
07:37We observe and re-image
07:38I agree
07:39He's stable for now
07:40Let's wait for the scan
07:40Dr. Santos
07:41Okay
07:41Let's order a CT chest
07:43Abdomen
07:44Pelvis
07:44And x-ray left hand
07:47Whoa
07:48Major de-gloving
07:49Focus on the primary
07:50Dr. Langdon's correct
07:51We need to log roll him
07:54Okay
07:54How about another four more feet?
07:56Put it in
07:57Hang in there Derek
07:58We got you
08:01Fuck off already
08:03Boyfriend?
08:04Wish
08:05My mom
08:06Every time I get a second of service
08:07Another dozen times
08:08How much longer do I have to wait?
08:11I got a broken leg here
08:12Someone will be with you shortly sir
08:14Am I allowed to use the bathroom?
08:16I really have to go
08:17I don't know ma'am
08:18I am not your doctor
08:19It says right there doctor
08:20Yes
08:21But I'm not your doctor
08:22But if you go back to your room
08:23A nurse will come find you
08:24I wasn't in a room
08:26I'm sorry
08:27Are either of you treating my mother?
08:29Nope
08:37Take a seat
08:38It's gonna be a while
08:43Helen Torres
08:44Come on down
08:47Helen Torres
08:48Yes, yes
08:49I'm going
08:51I'm going
08:52I'm going
08:53I'm going
08:53Pass the door
08:54From this side
08:55Thank you
09:04Thank you
09:10I'm Dr. Mohan
09:11The assistant Dr. Kwan
09:12Helen
09:13How long has your leg been swollen?
09:15It's been getting worse over the past week
09:19Dr. Mohan, your mom called again
09:20She said you don't need to go back
09:22Not now
09:23With a patient
09:27Sorry about that
09:29Did you fall or hit your leg?
09:31No
09:34Have you ever had a blood clot before?
09:37No
09:41Are you alright?
09:43Excuse me?
09:43Do you need to sit down?
09:45Oh no, I'm fine
09:47You don't look too good
09:48What?
09:50No, it's just
09:52It's really hot in here
09:53And
09:55And
09:55You need to sit down
09:57I'm good
10:00I just
10:00I need some hair
10:02Maybe excuse me
10:02One second
10:03Come on
10:10That's weird
10:20That's weird
10:22I'm good
10:23I'm good
10:23I'm good
10:23I'm good
10:25I'm good
10:25I'm good
10:25I'm good
10:27I'm good
10:29Look out, Nickway
10:32Get in
10:34No, I'm okay
10:36I'm okay
10:37Get in the fucking chair
10:41Excuse me, man
10:42Excuse me, coming through
10:45Out of my way
10:47We were going down the water slide
10:48And the bottom just fell off
10:50I grabbed Zach's arm and I tried to hold on to the sides
10:53But my hand slipped and my ring got stuck
10:55My finger was ripping off and I just
10:58And I lost him
11:00We can numb up your finger as soon as we gauge the extent of the injury
11:03You can cut the damn thing off for all I care
11:05I just need to find Zach
11:08Okay, do you feel anything here?
11:09Yeah, sharp
11:10How about here? Sharp again
11:12You're a little late for the show, Yo-Yo
11:13I am the show, Dr. Langdon, you're the warm-up act
11:16I didn't know if somebody missed me
11:18Mr. Foster suffered a decloving injury of the ring finger
11:20Stable pneumothorax awaiting imaging
11:23Hello, sir, I'm Dr. Garcia from the trauma service
11:26Need the ring cutter
11:27That's why they pay the surgeons a big bucks
11:29Possible flexor tendon injury
11:33Try to bend up your ring finger
11:39Let's go with the block
11:40You want to feel a pinprick and some burning?
11:43Which tendon did we test, Dr. Santos?
11:46Seriously, that's a med student question
11:48We're a teaching hospital
11:50It's always good to review
11:53Flexor digitorum superficialis is intact
11:55As it inserts on the middle phalanx
11:58Correct
11:59Gee, thanks
12:01No sign of tension
12:02At least no tension, you know
12:05Let's wait for the CT
12:06I'll be next door
12:07Langdon
12:09Mel's sister's been asking for you
12:10She's getting antsy and we could really use the room
12:12CT's ready
12:13Okay, let Becca know he'll be there soon
12:15And Mr. Foster got separated from his son, Zach, at the water park
12:19I don't know if we can call for you
12:21My wife, Angela
12:22Dr. Santos, will you escort Mr. Foster to CT?
12:30Help!
12:31Need a hand here?
12:33What the hell happened?
12:34I think I'm having NMI
12:36My chest is so tight I can barely breathe
12:38Okay, I've got to get this while bleeding
12:39Perla
12:40Can I get an assist here?
12:41Yeah, I'm on it
12:44CT's normal
12:45Why do we take down the tourniquet, Whitaker?
12:47To give the residual limb blood slope
12:50Two little pumpers
12:51A little figure eights
12:52How to take care of those
12:54Park
12:56Park the shark
12:57Orthopedic surgeon
12:58Is this a favorable amputation?
13:00Pretty clean cut
13:01Then sliced through like a guillotine
13:02X-ray
13:06Not too bad
13:10Just, uh
13:12Tying off a couple arterioles
13:13I'm not blind
13:16Where's the amputated leg?
13:17Double bag, none ice
13:19Sterile saline on the inner bag
13:21Ice water in the outer bag
13:23No direct ice on skin contact
13:25We spent a lot of time
13:27He still needs to look
13:33Get Robbie
13:44Antibiotics
13:45Cefazolin and gent
13:46We've cleared her chest
13:47Abdomen and pelvis
13:48Clean wound
13:50No crush injury
13:51Rapid transport time
13:54Replantation is a go
13:55I'll book an OR
13:56Irrigate the hell out of this
13:57With three liters
13:58Three liters?
13:59Of saline
14:00Genius
14:02Thanks, shark
14:07I knew he meant saline
14:10Dr. Robbie
14:11We need you in central sex
14:13Dr. Mohan
14:13Maybe having a heart attack?
14:15What?
14:18EKG is normal
14:19You sure?
14:20Check it out
14:21You can be here on second opinion
14:22What's going on?
14:23It's okay
14:23I'm okay
14:24You don't look okay
14:25You look like shit
14:27I feel like shit
14:28What happened?
14:29I don't know
14:30I just got really hot
14:32And I started having trouble breathing
14:35We should send up some labs
14:36Just to be safe
14:38Any chance you're pregnant?
14:40Not sure I feel comfortable
14:41Answering that
14:44No
14:45She was tacky
14:46But it's resolved now
14:47Have you eaten anything?
14:48Yeah
14:49You staying hydrated?
14:50A hundred percent
14:51I'm doing everything right
14:53It's everything around me
14:53That's all fucked up
14:54It's just my mom moving
14:56And calling me over
14:57And over again
14:58And now me scrambling
14:59To find a job next year
15:00I had it all planned out
15:01And now everything's
15:02Just out the window
15:03Wait a minute
15:03Is this a panic attack
15:04Because of your mommy issues?
15:06What?
15:07No
15:07Jesus
15:08Do you need to go home?
15:09You should go home
15:10No, I'm fine
15:10I don't need the fucking liability
15:12Go home
15:12And the rest of you
15:14The last time I checked
15:14The ED is a shit show
15:16So let's all get back to work
15:17Huh?
15:25Sorry for taking so long, Becca
15:27Nurse Dana said you'll be back
15:29In a few minutes
15:30But it's definitely been more
15:31Than a few minutes
15:32You're right
15:32My apologies
15:33I brought some drink options
15:36Okay
15:36We've got apple juice
15:38Cranberry juice
15:40OJ
15:41And Pittsburgh's finest
15:43What's that?
15:45Water
15:45OJ, please
15:47Okay
15:50Let's see
15:56Now I am going to give you two pills
15:59The first is an antibiotic
16:01That will get rid of the infection
16:03The second should take care of the burning
16:05You want to take both pills for three days
16:08And drink lots of water
16:09I'll write it all down
16:11I hate pills
16:13Could you mash those up
16:14And put them in the OJ for me?
16:16Coming right up
16:19Okay
16:22Mel's going to be super worried
16:23When you tell her
16:25You are going to be just fine
16:26But um
16:27As far as telling your sister
16:29What's going on with you
16:30That is your decision
16:31Not mine
16:34So
16:35You're not going to tell Mel?
16:38I can't
16:39Not unless you
16:40My patient
16:41Tell me to
16:45Do you know when
16:46Mel's going to be done
16:47With her important meeting?
16:50Hopefully soon
16:52Dr. Langdon
16:54They need you back
16:55Control me too
16:59Becca
17:00I gotta go
17:00I will be
17:01Don't say in a few minutes
17:02Unless you actually mean in a few minutes
17:05I would never
17:11And I need you to be kind to each other
17:14And kind
17:15She's just a butthead sometimes
17:19He's your brother
17:21And he loves you
17:25Don't go
17:26I don't want to go
17:29But it's
17:30It's not up to me
17:33Okay
17:34We'll always be connected
17:37No matter what
17:41Invisible string
17:46Invisible string
18:07Invisible string
18:10Yeah
18:11Yeah
18:12Yeah
18:12Yeah
18:12It's us
18:16It's not fair
18:18No
18:18It's not
18:23I don't want to go in there
18:28Nobody is going to make you
18:36She didn't used to look like that
18:41Yeah
18:42I get that
18:47If you don't go in there
18:48And say goodbye
18:50And tell your mom you love her
18:53I think you might wish you had
18:55For a very long time
19:01It's your call
19:06B5
19:07Half normal saline
19:0828K
19:08Run it at 125 an hour
19:11One of the most common reasons
19:12For traumatic replantation
19:14Failure is infection
19:15So we do what Whitaker?
19:16Rinse and repeat
19:17Until surgery calls for us
19:21Is everything okay
19:22With Dr. Mohan?
19:23She's fine
19:24Focus
19:26I don't know
19:30I don't know
19:32Ketamine's wearing off
19:36I can't feel my leg
19:39I'm Dr. Michael Rabinovich
19:41You're at a hospital
19:41And we give you a nerve block
19:43So that you can't feel any pain
19:44Why?
19:45You were on a water slide
19:47That collapsed
19:47And did serious injury
19:48To your leg
19:50Okay
19:54Fuck
19:55Is that my leg?
19:56Is that my
19:57Did you cut my fucking leg off?
19:58Your leg was cut off
19:59In the accident
20:00Our surgeons are going to
20:01Try for replantation
20:02I
20:03No
20:03She needs more ketamine
20:05Grab up the leg
20:05Emily I know that
20:06This is really hard
20:07I need you to focus on me
20:08Right now
20:08Because we need to get
20:09Your consent to proceed
20:10With the surgery
20:11Why?
20:11There are risks
20:12With the surgery
20:13There's anesthesia
20:14No
20:14And there's no guarantee
20:15Emily
20:17Can you just
20:17Just put it back on?
20:19Like
20:20Can you just put it back on?
20:21Sounds like a sense of me
20:22Now could you have sedation?
20:23Okay
20:23Load it up
20:24Petamine and rock
20:24It's gonna be okay
20:25It's gonna be okay
20:26We're gonna intubate
20:27Before the OR
20:28It's gonna be okay
20:30Finishing second cut
20:32Success
20:33Can that be saved?
20:34The finger or the ring?
20:36The wedding ring
20:37Uh yes sir
20:38A jeweler can weld it back together
20:40Good as new
20:40Stop
20:42Irrigate the ring shavings off first
20:46What did I miss?
20:47Finishing irrigation
20:50Doesn't look like you lost any skin
20:52It's a little dusky
20:53Might not be viable
20:54There's intact skin on the dorsum
20:56More irrigation
20:57Then tack it down with one suture
20:58Okay thanks
21:00Radiologist reports a 25% in the forex
21:03Is that bad?
21:04That is a partially collapsed lung
21:06That needs treatment
21:07I can put in a chest tube
21:08He doesn't need a chest tube
21:10Okay what do you want
21:11A pigtail catheter?
21:12I was thinking a Thoravent
21:14What? Why?
21:15It's not a bad idea
21:16No need for well suction
21:18If hand can operate today
21:19He can go home tomorrow
21:20With a Thoravent
21:21You can learn a lot
21:22From your senior residents
21:23I'm happy to teach Dr. Santos
21:26Thank you Dr. Lundin
21:32Janelle
21:32I need you to take the samples
21:34To the lab
21:34And come back with any results
21:36That are ready
21:37Joffrey head to CT
21:38To see if any new results
21:39Are printed and bring those back
21:40Pam
21:41Check in with whoever's running the PDS
21:43To see if any orders
21:45Need to go to the pharmacy
21:46And bring back any meds
21:47That are ready for pickup
21:48Rinse and repeat
21:49Every 15 minutes
21:50Double tie those shoelaces
21:51And hydrate
21:52It's not a sprint
21:53It's a marathon
21:55Fine my pretties
21:58Okay
21:58Any word I'm finding
21:59On water slide dad's kid
22:00Not yet
22:01Called the wife
22:02Went straight to voicemail
22:04At least dispatch said
22:05That there were a couple
22:06Of fatalities on site
22:07One adult one kid
22:08Sweet Jesus
22:09Who the fuck did this
22:11No sign up on orders
22:12For labs or x-rays
22:14And it's in the wrong
22:15Freaking rack
22:15You guys trying to kill me
22:16And the patient
22:17I'll take care of it
22:18Thanks
22:19Dana
22:20Let's go Miss
22:21Shit I know
22:23Pardon me
22:24She said you needed this
22:24Right away
22:25Just in time
22:25Slap one on and give it
22:26An hour to kick in
22:27You're welcome
22:29What
22:30The prescription is for you
22:32My insurance will cover it
22:33Hers won't
22:34Is that insurance fraud
22:37Tell me in jail
22:38I could use a vacation
22:43Mom
22:49I'm
22:49I'm really glad to see you
22:50Mom
22:51Garcia told me about the
22:52Sigmoid volvulus you missed
22:53It was an oversight
22:55That could have killed her
22:57Without electronic records
22:58It's been kind of a challenge
22:59To figure out
22:59Chaos is the status quo
23:00In the ED
23:01Even when the computers
23:01Are working properly
23:02You have to be hypervigilant
23:03And double check everything
23:04I can handle it
23:05Why would you want to
23:07Down here
23:08You're learning
23:08Street level medicine
23:09All the seat of your pants
23:11Oh well
23:11I made a mistake
23:12But the more
23:13Talented practitioners
23:14Upstairs will fix it
23:17You are better than this
23:22Love you
23:28Well
23:28That is one way
23:30To do a debrief
23:31You should talk to her
23:32Which one
23:33Honestly
23:33Both of them
23:34Can you call in
23:35Some extra doctors
23:36Sure
23:37Everyone's dying to work
23:38On the 4th of July
23:39Why
23:39Dr. Moorhan went down
23:41Yeah
23:42I saw your pep talk
23:45She's taking a little break
23:46Until her labs are back
23:47She's going to be fine
23:48But I'm not sure
23:49Her head is in the game
23:51Good morning Cap
23:52Small stab incision
23:54With the 11 blade
23:55Midclavicular line
23:56Second intercostal space
23:58She's going to stab me
23:59It's just a medical term
24:01Stay superior to the rib
24:07Is there a problem?
24:09Nope
24:09Everything's going well
24:11Place the trocar
24:13Pull back the adhesive wings
24:16And advance until you see
24:18The red diaphragm move
24:20That means you're in
24:21The pleural space
24:23Now remove the trocar
24:28Perfect
24:29Okay
24:30Now we can either
24:32Hook up to wall suction
24:33Or we can use this
24:34One-way valve
24:35To repeatedly aspirate
24:36With a syringe
24:37Now with all your
24:38Vast experience
24:38Dr. Langdon
24:39You should probably decide
24:43We can avoid wall suction
24:45If I pump manually
24:46How about it doc?
24:47Enough
24:48Apparently decency and decorum
24:50Need to be reintroduced
24:50To our R2 curriculum
24:52Nice work Dr. Langdon
24:54We'll go check in a no-R
24:55For Mr. Foster
25:02Hey
25:03I'm going to need you
25:03To pick up your face
25:05Can I get a sec?
25:06Dr. Mullen
25:07Just almost died on me
25:08It's not even close
25:09She's tougher than she looks
25:11Propane Hero
25:11And North 4
25:13Hey Annie
25:13Any word from surgery
25:14On how our big patient
25:15Howard's perforated
25:16Divertigulitis is doing?
25:17Still in the O.R.
25:18What about our drunk firework kid?
25:20Wait this turn
25:20In the surgical conga line
25:23What about social services
25:24Have they found
25:25A temporary foster home
25:26For our baby Jane Doe?
25:28Still working on it
25:29Kid's going to be old enough
25:30To drive by the time
25:31She gets out of here
25:31You joke
25:34Oh for fuck's sake
25:36Go
25:37Quickly
25:37Before I change my mind
25:39Hey
25:40Did the county pick up
25:41Louie's body yet?
25:42No
25:42He's still in the vial room
25:43Jesus
25:44He's just laying in there?
25:45Yeah
25:45Another couple minutes
25:46I'm wheeling him down
25:47To the morgue myself
25:50What's the bullet?
25:51Eight year old boy
25:51Part of the water park accident
25:52Thrown off the water slide
25:54How far did he fall?
25:55Maybe six or seven feet
25:56Landed in a tree
25:57Had to wait for a ladder truck
25:58To get him down
25:59Major neck trauma
26:00Must have taken all the impact there
26:01Couldn't chew of him
26:02Hard to bag
26:02Sats in the 80s
26:03BP 85 over 60
26:05Pulse 50
26:08Okay
26:09One
26:09Two
26:10And three
26:12Possible laryngeal fracture
26:13Hypoxic bradycardic
26:15Kid needs an airway
26:16Before your wrists
26:16Broncelot tape
26:18Peens cart
26:18Set up suction
26:19Oh my god
26:20Is that Zach?
26:22Hey
26:22Hey kid
26:23Can you look at me?
26:25No response
26:26No purposeful movement to pain
26:29Oh my god
26:30Is this your kid?
26:32No
26:32Sir, go back to your room now
26:33Roslo says 25 kilograms
26:35Jesse?
26:36Five and a half each each
26:37Okay
26:37Uh
26:3830 of rock
26:3950 can be
26:39You're gonna paralyze?
26:40Yep
26:41If we can't intubate
26:42We crack
26:43He's too young for a crack
26:44Needle crack?
26:45You can't ventilate through that
26:46Sass down to 78
26:4711 blade Kelly
26:48And a Peds Bougie
26:49One quick look
26:50And then we cut
26:51I can't tell if there's lungs sliding
26:52No movement
26:53No air entry
26:54Way too edematous
26:55I can't see the cores
26:56Better with cricoid pressure?
26:59Nothing
26:59Fuck
27:00Okay
27:00Tall world between the shoulder weights
27:02Heart rate down to 49
27:03Headed to cardiac arrest
27:04The trach's gonna take 20 minutes
27:05This kid's not gonna last 60 seconds
27:06That's why we're doing a slash trach
27:08Don't know it
27:08Me neither
27:10Boss?
27:10Show me what you got
27:20Pull up the trachea between your thumb and middle finger
27:24Vertical incision right over the trachea
27:28Vertical, not horizontal
27:29Or you transect the trachea and cut the jugular veins
27:33That's a lot of blood
27:34Now it's a tactile procedure
27:37Two centimeter incision through the tracheal rings
27:40Finger in the trachea
27:44Bougie into the airway
27:47Thoughts on what's next, Dr. Whittaker?
27:49Insert the ET tube into the trachea
27:51Stupid suction
27:52Lots of blood in the airway
28:01Okay, back in
28:03Check the CO2
28:06Sounds coming up in the 80s
28:07Bilateral breath sounds
28:09And tidal CO2 is 70
28:11That's crazy high
28:11It'll come down
28:12Tie down the tube
28:13Control all the bleeders
28:14Spray an amp of epi on a stack of 4x4s
28:17Okay
28:18Sats are up to the 90s
28:20Good
28:20CO2's in the 50s
28:22Good heart rate
28:22You forgot the last step
28:23Change your underwear
28:25How many of these have you done?
28:28First one
28:28Are you serious?
28:29What about you?
28:31None
28:31I practiced in the sim lab when I was at Stanford
28:34What'd I miss?
28:35All the fun
28:35Slash trach
28:36Seriously?
28:37Uh, fractured larynx
28:39Couldn't oxygenate
28:39Couldn't ventilate
28:41He has a meat cleaver on this kid?
28:42E&T can revise the trach in the OR
28:45They'll be thrilled to clean up your mess
28:48Or maybe they'll thank us for not letting him die
28:56So, we're still waiting on your prescription
28:58And the pharmacy's a little backed up
29:00But I'm glad to see you're doing good
29:02Well
29:04I'm well
29:06Glad to see you're well
29:08Can't you expedite my medication?
29:11Sure
29:11But it may still be a little while before Dr. Mohan can sign off on the discharge
29:15So, sit tight
29:19And do what?
29:24You just keep this handy for occasions like this?
29:28Uh, I thought that I might not have that much to do today
29:31But
29:33Man, I was wrong
29:41Thank you
29:47What brings you in today?
29:49Uh, friend made me come in
29:51Name's Robbie
29:51He said I should
29:52Ah, you're Duke
29:54Donnie
29:55Yep
29:56Robbie's VIP is here
30:01Hi, I'm Donnie
30:03Nurse practitioner
30:04Robbie's already put in orders for a numbing spray for your nostril
30:08Nostril?
30:10It's my throat
30:11It's not my nose
30:11Okay
30:12Let's get you, uh
30:13Set up in a room
30:18That was the most unprofessional deposition I've ever witnessed
30:21They were nowhere near that aggressive with Dr. Ellis
30:25Oh, okay
30:29It didn't go as badly as you think
30:31They suggested I was incompetent
30:33They're posturing to set the stage for a ridiculous settlement request
30:38This isn't about those parents or that kid
30:40It's only about trying to make a lot of money
30:42Well
30:43I don't have a lot of money
30:45Not your money, Dr. King
30:46It's an insurance scheme
30:48You're protected by the hospital
30:49This won't affect your career
30:57Hey, how was your deposition?
30:59Have you seen Dr. Langdon?
31:01Uh, no way
31:04Okay, okay
31:05How is Becca?
31:06Oh, she's fine
31:07Yeah?
31:08Okay, I should go see her then
31:09How was your deposition?
31:10I'm sure it was stressful
31:12It, uh
31:15What's going on with Becca?
31:16What's her diagnosis?
31:17I can't tell you
31:19Why?
31:20HIPAA
31:21Seriously?
31:22If you want to know what's going on with Becca
31:23You're going to have to ask yourself
31:25Yay, you survived your deposition
31:27Welcome back to the seventh circle of hell
31:28What, uh, what's this?
31:30You're welcome for covering your patients
31:32They're yours again
31:33Might want to check on the pancreatitis in R3 first
31:35Oh, okay
31:37Langdon
31:38We got some intel on Louie
31:40They move him out of the viewing room?
31:41No, but Candy's promised they're on the way to come get him
31:43Can I get the county coroner's number?
31:46What for?
31:47I just want to make sure if no family shows up
31:49Louie gets a proper burial
31:50It's expensive
31:51You may want to rent it by the missus first
31:53Uh, maybe I started GoFundMe
31:55I bet people around here would pitch in
31:57Hey, kid
31:58You can't do this for a ran house catatizer in here
32:02Yeah, but for the grace of God
32:03No, the success of your sobriety is a testament to your support system
32:08Louie didn't have that
32:10Still, Louie was a good man
32:11He deserves to be put to rest with dignity
32:14Okay
32:15I'll dig it up
32:19You heard all that?
32:22Robbie, your VIP's here
32:24Got him in Central 11
32:26Finally
32:30About fucking time
32:31If I knew you were going to make me wear a dress
32:33I wouldn't have come at all
32:35Dennis Whitaker, meet my buddy Duke
32:37Nice to meet you
32:38Any friend of Dr. Robbie's?
32:39Friend of mine?
32:40Friend is a vast overstatement
32:42He's more just a pain in my ass
32:44Don't let his surly exterior fool you
32:46Deep down inside, he's just as grumpy
32:48How did you two meet?
32:50Tinder
32:51Gee
32:52Duke is a motorcycle engineer
32:54He should have seen his Bonneville
32:56When he first brought it in six months ago
32:58Someone left it for dead
32:59He helped me bring it back to life
33:01Today we're going to return the favor
33:03Dr. Whitaker's one of our most trusted physicians
33:05And today he's going to help me oversee your care
33:07Uh, what seems to be troubling you?
33:10Ask him, he's the one who made me come in
33:12He's had some hoarseness on and off for a couple months
33:14Okay, any history of tobacco or alcohol use?
33:18Two of my oldest and closest friends
33:20Former two-pack-a-day smoker and lover of the drink
33:23Okay, he on any medication?
33:25Uh, blood pressure meds
33:27Mm-hmm
33:27Which he forgets to take
33:29He's all numbed up and ready to go
33:30Okay, thank you, Donnie
33:33My man
33:34I'm going to take this scope
33:36And I'm going to stick it in your nose
33:38And we're going to check out your upper airway
33:41Uh, it seems like a lot of fuss for a sore throat
33:43Dr. Whitaker, you want to explain to Duke
33:45While this procedure is absolutely necessary?
33:48The scope is going to give us a better view
33:50Of your voice box and your vocal cords
33:53Here we go
33:54You're going to feel a little pressure between your eyes
34:01I am sorry about that
34:03Okay, just breathe through your nose
34:05Is this going to help us see if there are any abnormalities
34:08Like inflammation, tumors, nodules?
34:11That all looks pretty normal
34:13I don't see too much drainage
34:14Stick your tongue out for me all the way
34:16All the way out, good
34:18Now say E
34:19E
34:20Good, now again say E
34:23Good, removing the scope
34:26Dr. Whitaker, what do you think?
34:29Looks normal, no abnormalities
34:30Told you it was nothing
34:32With your history of smoking, I'd like to do a chest x-ray
34:35If there are growths, they can push against the recurrent laryngeal nerve intermittently
34:41That can paralyze one of the vocal cords and cause the hoarseness
34:45That sounds like a lot of bullshit doctors speak to charge me more
34:49You've got medicare
34:50Besides, I finally got you into my ED
34:52You're going to get the golden workup before I leave town tonight
34:55Only an idiot would ride all night after working a 12-hour day
34:59That does sound pretty dangerous
35:01I guess they put it or do I have to tie you down?
35:03Fine, so long as you keep your hands where I can see them
35:06No promises
35:07Let me know when his chest x-rays back
35:08Yeah
35:13Hey, hey
35:15Are we okay?
35:18Uh, yeah
35:19Why?
35:21I don't know
35:21You kind of ripped me a new one in front of Langdon
35:25Whose side are you on?
35:27This isn't middle school
35:28Langdon made a mistake and it wound up to it
35:30Let it go
35:31He should
35:34He should have been fired
35:36But instead he waltzes back in here
35:39No big deal
35:39Meanwhile, I've been a goddamn pariah for the last 10 months for doing the right thing
35:43Or maybe you're a pariah because you don't play well with others
35:48If you still got beef with Langdon, go tell him
35:50He's here to stay, so put on your big girl panties and work it out
35:54No
35:55You want to have sex and eat ramen in bed, I'm your girl
35:58But if you want to talk about this Langdon shit
36:01Again
36:02Call a therapist
36:13How's it hanging, Dr. J?
36:15Never call me that again
36:17It was a joke
36:19Relax, he's clueless about your TikToks
36:22But you're not
36:24Props on the side hustle
36:25There is no hustle, there's some stupid videos
36:27Wait, are you an influencer?
36:29No
36:29Yep
36:32Yo, pre-docs, it's not happy hour yet
36:34There's still shit ton of patients to be seen
36:41Ben, our slash trade kid from the water park
36:43Had some purposeful movement in pre-op
36:46That's a good sign
36:47Take the win
36:51We need to talk
36:54We are talking
36:55In private
37:05What the hell was that with Samira earlier?
37:08That was tough love
37:09You are her superior
37:11She was obviously struggling and your advice was go home
37:14Essentially, yeah
37:15This is the ED, it's not for the faint of heart
37:18It's not for the unempathetic either
37:21Samira's not having a panic attack because of her patience
37:24She's having one because of personal baggage
37:25What she needs to do is pull her head out of her ass and focus on the work
37:28What about you?
37:29What do you need to get some basic human empathy back?
37:34I don't know
37:36Something that gives me a little hope this place won't fall to shit when I'm gone
37:40Found him
37:42Found who?
37:43The water slide dad's kid?
37:45How'd you manage that?
37:45I went outside, stalked the dad's IG
37:47Found a pic of his son, sent it to Pittsburgh, PD
37:49Now they're on their way over
37:51Well, maybe Gen Z should be working for the FBI
37:58Hi, Becca
37:58Mel
37:59Hi
38:01You, uh, you doing all right?
38:03I'm a little bored
38:06Um, how are you feeling?
38:08A lot better
38:08Dr. Langdon gave me some medicine and OJ
38:11He's super nice
38:13I see why you like him
38:15Did he tell you what the medicine was for?
38:17Yes
38:18Um, did you tell her?
38:20I did not
38:22Uh, I explained to Becca that due to doctor-patient confidentiality
38:26Everything she told me was private
38:28And that it was her decision if she wanted to share anything with you or not
38:34Um, do you want to share?
38:36Yes
38:48I have a urinary tract infection
38:52Oh
38:54Okay
38:55Yeah, those, um
38:56Those can happen if you, you know, hold your pee in for too long
39:00Or you accidentally wipe from back to front
39:01Mel, I know
39:02I know Mel
39:03He told me
39:05Good
39:06You know, he also told me it can happen from having sex
39:10Uh, yeah
39:11It can
39:11Uh, it's not like you're having sex
39:14Yes, I am
39:19What?
39:20I'm having sex
39:24With who?
39:25My boyfriend
39:26You have a boyfriend?
39:28Yes
39:28His name is Adam
39:30And we're having sex
39:33Lots of sex
39:37Okay
39:41Um
39:42Mel
39:42Are
39:44Are you okay?
39:46Mm-hmm
39:49Got a sec?
39:51Sure
39:52How you feeling?
39:53I'm fine
39:55Are you sure?
39:56Yeah
39:56Troponin, D-dimer, and TSH
39:58All normal
39:59Listen, I'm sorry about earlier
40:01I think I was being
40:02A dick
40:04I was gonna say I'm professional
40:06But probably that too
40:08I'm sorry
40:10Thanks
40:12But now I kinda need you to stop feeling sorry for yourself
40:15And focus back on your patients
40:16Think you can do that?
40:19Sure
40:19Great
40:23With this extra dose
40:25And increased morphine from the pump
40:27Your pain should subside
40:29Your breathing will slow down
40:32You may get very sleepy
40:36I'll go be with the boys
40:39They need you more than I do now
40:43Later
40:45Right now I'm exactly where I'm supposed to be
40:56Yeah
40:56Okay
40:58Here we go
41:24To my people
41:26To my people
41:32To my people
41:34To my people
41:39Brought me your heart
41:49Beautiful heart
41:55Can't be loved
42:01Come from the storm
42:09Brought me your heart
42:17Beautiful heart
42:24Beautiful heart
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